DADOS DOS SEGURO

NOME LOCATARIO_______________________________________________________________________________________________________

NASC: ___/____/____ SEXO_____________________________

CPF/CNPJ: ______________________________________

RG:______________ EMISSÃO________________

EST CIVIL: ___________________________

FAIXA DE RENDA MENSAL_____________________________

E-MAIL: ________________________________________________________

TELEFONE ( )_______________________CELULAR ( )______________________

END LOCADO________________________________________________________N_____________BAIRRO______________________

CEP_________________________________

VALOR DO ALUGUEL: ____________

VALOR DO IPTU: ________________

VALOR ENERGIA : _______________

VALOR AGUA :__________________

VALOR DO IMOVEL R$:_________________

NOME LOCADOR _______________________________________________________________ DATA DE NASC____/____/____

CPF___________________________RG________________________SEXO__________________________

ENDEREÇO________________________________________________N___________CEP___________________________

TELEFONE ( )______________________CELULAR ( )_____________________

ESTADO CIVIL____________________________

Imobiliária:__________________________________

Data: __/__/__